A5084796734- Patient-Provider Communication in Healthcare
- Cardiovascular Health and Risk Factors
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Health disparities and outcomes
- Blood Pressure and Hypertension Studies
- Patient Satisfaction in Healthcare
- Cultural Competency in Health Care
- Obesity and Health Practices
- Health Policy Implementation Science
- Racial and Ethnic Identity Research
- Mental Health Treatment and Access
- Mobile Health and mHealth Applications
- Healthcare Policy and Management
- Obesity, Physical Activity, Diet
- Diversity and Career in Medicine
- Migration, Health and Trauma
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Healthcare cost, quality, practices
- Innovations in Medical Education
- Health Systems, Economic Evaluations, Quality of Life
- Health Literacy and Information Accessibility
- Health Promotion and Cardiovascular Prevention
- Cardiac Health and Mental Health
Johns Hopkins University
2016-2025
Johns Hopkins Medicine
2016-2025
University of Baltimore
2011-2024
Patient-Centered Outcomes Research Institute
2023
National Institutes of Health
2018-2023
National Heart Lung and Blood Institute
2015-2023
Bloomberg (United States)
2023
Urban Institute
2020-2023
Rutgers, The State University of New Jersey
2022-2023
Rutgers Sexual and Reproductive Health and Rights
2022
African-American patients who visit physicians of the same race rate their medical visits as more satisfying and participatory than do those see other races. Little research has investigated communication process in race-concordant race-discordant visits.To compare patient-physician examine whether behaviors explain differences patient ratings satisfaction decision making.Cohort study with follow-up using previsit postvisit surveys audiotape analysis.16 urban primary care practices.252...
Objectives. We examined the association between patient race/ethnicity and patient–physician communication during medical visits. Methods. used audiotape questionnaire data collected in 1998 2002 to determine whether quality of medical-visit differs among African American versus White patients. analyzed from 458 patients who visited 61 physicians Baltimore, Md–Washington, DC–Northern Virginia metropolitan area. Outcome measures that assessed process, patient-centeredness, emotional tone...
A legacy of racial discrimination in medical research and the health care system has been linked to a low level trust among African Americans. While differences physicians have demonstrated, little is known about variation insurance plans hospitals. For present study, authors analyzed responses cross-sectional telephone survey assess independent relationship self-reported race (non-Hispanic black or non-Hispanic white) with physicians, hospitals, plans.Respondents ages 18-75 years were asked...
Objective.A legacy of racial discrimination in medical research and the health care system has been linked to a low level trust among African Americans.While differences physicians have demonstrated, little is known about variation insurance plans hospitals.For present study, authors analyzed responses cross-sectional telephone survey assess independent relationship self-reported race (non-Hispanic black or non-Hispanic white) with physicians, hospitals, plans.Methods.Respondents ages 18-75...
We examined the associations of clinicians' implicit attitudes about race with visit communication and patient ratings care.In a cross-sectional study 40 primary care clinicians 269 patients in urban community-based practices, we measured general bias compliance stereotyping 2 association tests related them to audiotape measures ratings.Among Black patients, was associated more clinician verbal dominance, lower positive affect, poorer interpersonal care; longer visits, slower speech, less...
Background. Ethnic minority patients are less likely than white to receive guideline-concordant care for depression. It is uncertain whether racial and ethnic differences exist in patient beliefs, attitudes, preferences treatment. Methods. A telephone survey was conducted of 829 adult (659 non-Hispanic whites, 97 African Americans, 73 Hispanics) recruited from primary offices across the United States who reported 1 week or more depressed mood loss interest within past month met criteria...
Objectives. This study explored whether racial differences in patient–physician relationships contribute to disparities the quality of health care. Methods. We analyzed data from The Commonwealth Fund’s 2001 Health Care Quality Survey determine patients’ satisfaction with care and use basic services were explained by interactions, physicians’ cultural sensitivity, or concordance. Results. Both lower for Hispanics Asians than Blacks Whites. Racial interactions helped explain observed...
This Viewpoint proposes expanding the quadruple aim (improving population health, enhancing care experience, reducing costs, and addressing clinician burnout) to quintuple aim, adding a fifth of advancing health equity.
The rapid proliferation of health informatics and digital innovations has revolutionized clinical research practices. There is no doubt that these fields will continue to have accelerated growth a substantial impact on population health. However, there are legitimate concerns about how promising technological advances can lead unintended consequences such as perpetuating care disparities for underresourced populations. To mitigate this potential pitfall, it imperative the scientific...
Studies involving physicians suggest that unconscious bias may be related to clinical decision making and predict poor patient-physician interaction. The presence of race social class its association with assessments or among medical students is unknown.
<h3>Importance</h3> Over the past 2 decades, there has been increased attention and effort to reduce disparities in live donor kidney transplantation (LDKT) for black, Hispanic, Asian patients with end-stage disease. The goal of this study was investigate whether these efforts have successful. <h3>Objective</h3> To estimate changes over time racial/ethnic LDKT United States, accounting differences death deceased transplantation. <h3>Design, Setting, Participants</h3> A secondary analysis a...
Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians' roles in propagating disparities.To determine whether race and/or social class correlate with patient management decisions.We conducted a web-based survey 230 physicians from surgery related specialties at an academic, level I trauma center December 1, 2011, through January 31, 2012.We...
This study described the characteristics of users Internet-based depression support groups and assessed whether use predicts change in symptoms social support.Users (N=103) these were recruited into cohort followed prospectively. Demographic characteristics, group use, care, score on Medical Outcomes Study Social Support Survey, Center for Epidemiologic Studies Depression Scale (CES-D Scale) by Internet survey at baseline, 6 months, 12 months.Users' demographic included median age 40 years,...
Background: This study assessed the relation of comorbid depressive syndrome with utilization emergency department services and preventable inpatient hospitalizations among elderly individuals chronic medical conditions. Research Design: A cross-sectional study. Setting: Individuals greater than or equal to 65 years age living in United States Medicare part B fee-for-service coverage 1999. Subjects: 5% random sample recipients (N = 1,238,895) whom 60,382 (4.9%) met criteria for a syndrome....